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Microbiology 8-3

Lecture 8 part 1

QuestionAnswer
Bacteria that are considered "unique" Spirochetes, Mycoplasma/Ureaplasma, Chlamydia, Rickettsia/Erlichia/Coxiella, Aerobic Actinomycetes
The two medically important families of Spirochetales spirochetes (Treponema and Borrelia)and the leptospira (thin, coiled bacteria with flagella important human pathogens)
The 2 species of Treponema that cause disease Order(Spirochetes) T. pallidum and T. carateum
What has a subspecies that is an etiologic agent of syphilis? Order(Spirochetes) T. pallidum
Where is Treponema bejel usually found? Order(Spirochetes) Africa, Asia, Australia
Where is Treponema pinta usually found? Order(Spirochetes) Mexico, Central and South America
Where is Treponema yaws usually found? Order(Spirochetes)S. America, Central Africa, SE Asia
General description/characteristics of Treponema pallidum Order(Spirochetes) tightly coiled spirochete; 3 flagella at each end; cannot be grown in vitro; diagnosis usually made serologically or by direct observation
General description/characteristics of Borrelia larger than the other spirochetes;multiple flagella; weakly stains Gram negative; can be seen in clinical specimens; culture is variable; diagnosis usually serologic(ex. B. burgdorferi and B. recurrentis)
What is B. burgdorferi? Borrelia burgdorferi; etiologic agent of Lyme disease
What is B. recurrentis? Borrelia recurrentis; etiologic agent of relapsing fever
Describe general characteristics of Leptospira all pathogenic strains given species name interrogans and non-pathogenic strains given species name; animals serve as reservoir for human infection; like Treponema thin, coiled spiral with flagella at end BUT can be grown in vitro; from mild to fatal
Describe general characteristics of Mycoplasmataceae smallest free-living bacteria;unique because they lack cell walls and their cell membranes contain sterols;pleiomorphic filaments (can be cultured but are slow growers);two medically important genera:Mycoplasma and Ureaplasma
Two medically important genera of Mycoplasmataceae Mycoplasma and Ureaplasma
What are the important species of the genus Mycoplasma? M. pneumoniae, M. hominis, and M. genitalium
Describe Mycoplasma pneumoniae most important species of genus; strict human pathogen; causes both upper & lower respiratory disease
Describe Mycoplasma hominis and Mycoplasma genitalium colonize GU tract; unclear role in genital infections; ? role in spontaneous abortions
Describe general characteristics of species Mycoplasma These organisms have no cell wall and when grown on artificial media they have a characteristic “fried egg” appearance
Aside from M. mycoplasma, what other species colonizes the human GI tract? Ureaplasma species
What is the most common/most important species of Ureaplasma? U. urealyticum is most common/most important
What is an important cause of urethritis? U. urealyticum
Which family underwent extensive taxonomic revision in 1999? and what was it changed to? Chlamydiaceae; previously single genus (Chlamydia), now 2 genera:Chlamydia: C. trachomatis;Chlamydophila: C. pneumoniae, C. psittaci(there are other species in both genera but they are uncommon pathogens)
General characteristics of Chlamydiaceae very small bacteria with Gram negative structure; unlike other bacteria have unique developmental cycle; energy parasites: use host ATP for their own energy requirements
Developmental cycle of Chlamydiaceae EB (elementary body) and RB (reticulate body)
What is the EB (elementary body) of Chlamydiaceae? analogous to spore (resistant to harsh environment); are infectious form; smaller than RB's
What is the RB (reticulate body) of Chlamydiaceae? intracellular form; metabolically active; replicating form
What is the etiologic agent of cervicitis, urethritis (US)? Chlamydia trachomatis
What is the etiologic agent of trachoma? Chlamydia trachomatis
What is similar to N. gonorrhoeae, where infants can be infected at birth? Chlamydia trachomatis
What are the 3 "biovars" of Chlamydia trachomatis? 1=murine infection, 2= C. trachomatis, 3 =lymhogranuloma venerum (LGV)
General characteristics of C. pneumoniae previously known as TWAR; important cause of upper & lower respiratory infection; often difficult to distinguish clinically from other causes of atypical pneumonia; newly discovered role in atherosclerosis
General characteristics of C. psittasci etiologic agent of psittacosis (“parrot fever”); any bird can be reservoir for infection; occupational exposureinfection acquired via respiratory route: lungs seeded→ hematogenous spread
what is RMSF? Rocky Mountain Spotted Fever (RMSF) is the prototypical rickettsial disease
General characteristics of Rickettsia/Erlichia/Coxiella very small coccobacilli, similar cell structure to Gram negative bacteria (LPS);obligate intracellular parasitesnatural habitat= infected arthropods;humans acquire disease via bite of infected arthropod and are considered “accidental” hosts; ex.RMSF
General characteristics of Aerobic Actinomycetes gram + bacteria that in morphology and pathogenesis resemble fungi;commonly found in soil, decaying vegetation and ventilation systems;able to colonize humans but cause disease only in immunocompromised hosts;do not confuse w/ the ANAEROBIC genus
How is Aerobic Actinomycetes similar to the Anaerobic genus Actinomyces? similar morphology;Aerobic will colonize upper respiratory tract, GI tract, female genital tract;cause disease only when normal mucosal barriers are breached
What are the medically important genera of actinomyces? Nocardia, Tropheryma, multiple genera associated with allergic pneumonitis
Describe the Nocardia species cell wall structure similar to Mycobacteria(also acid-fast but weakly so grow on routine media but slowly); >10 species associated with disease; infection acquired by inhalation or traumatic implantation; wide spectrum of disease
Describe the wide spectrum of disease in Norcardia species immunocompetent patients: cutaneous, chronic pulmonary disease; immunocompromised patients: bronchopulmonary, severe cutaneous or CNS disease
Describe the Mycobacteria diverse group of non-motile rods; unique cell walls: lipid rich, mycolic acidcan’t be Gram stained (resist decolorization); mostly slow growers w/ complex growth requirements; >100 species; classification based on growth properties+in vitro morphology
What were classically Runyon groups (I-IV) and non-Runyon groups Mycobacteria
Mycobacterium tuberculosis etiologic agent of tuberculosis; intracellular pathogen capable of lifelong infection; few virulence factors; strict human pathogen; M. tuberculosis complex: includes M. leprae and M. bovis
Mycobacterium avium complex merger of 2 species: M. avium & M. intracellulare; difficult to distinguish biochemically; ubiquitous in nature: soil, water; multiple manifestations of pulmonary disease in imminocompetent patients; disseminated disease in immunocompromised patients
Created by: amb101
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